Form 96-0566 "Authorized Presence Exemption Request" - Arizona

What Is Form 96-0566?

This is a legal form that was released by the Arizona Department of Transportation - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2015;
  • The latest edition provided by the Arizona Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 96-0566 by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.

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Download Form 96-0566 "Authorized Presence Exemption Request" - Arizona

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AUTHORIZED PRESENCE
EXEMPTION REQUEST
azdot.gov
96-0566 R02/15
Clear
In accordance with Arizona Revised Statutes 41-1080, all individuals applying for a license (including an agency
permit,
certificate,
approval,
registration,
charter
or
similar
form
of
authorization)
issued
by
the
Motor Vehicle Division for the purposes of operating a business in Arizona, must present documentation indicating
that the individual’s presence in the United States is authorized under federal law.
I certify that I am exempt from presenting authorized presence documentation because both of the following
apply:
• I am a citizen of a foreign country or, if at the time of application, I reside in a foreign country, and
• The benefits that are related to the license do not require me to be present in the US in order to receive those
benefits.
-or-
I am a resident of another state and I hold the same type of license that I am applying for in Arizona. I seek the
Arizona business license to comply with Arizona law, not to establish residency in Arizona. A copy of my current
license is attached.
Company Name
Doing Business As
Applicant Name (first, middle, last, suffix)
AZ Driver License/ID Number (if applicable)
Residence Address
City
State
Zip
Applicant Signature
Notary or MVD Agent Signature
Acknowledged before me this date.
Date
County
State
Commission Expires
MVD Internal Use Only
Document Type
Issue Date
Expiration Date
Source Document Information
Business Unit
Fuel Tax Licensing
Third Party T&R
Professional Driver Services
Dealer Licensing
Traffic Survival School
Third Party Inspection
Reviewer Signature
Reviewer Userid
Date Reviewed
AUTHORIZED PRESENCE
EXEMPTION REQUEST
azdot.gov
96-0566 R02/15
Clear
In accordance with Arizona Revised Statutes 41-1080, all individuals applying for a license (including an agency
permit,
certificate,
approval,
registration,
charter
or
similar
form
of
authorization)
issued
by
the
Motor Vehicle Division for the purposes of operating a business in Arizona, must present documentation indicating
that the individual’s presence in the United States is authorized under federal law.
I certify that I am exempt from presenting authorized presence documentation because both of the following
apply:
• I am a citizen of a foreign country or, if at the time of application, I reside in a foreign country, and
• The benefits that are related to the license do not require me to be present in the US in order to receive those
benefits.
-or-
I am a resident of another state and I hold the same type of license that I am applying for in Arizona. I seek the
Arizona business license to comply with Arizona law, not to establish residency in Arizona. A copy of my current
license is attached.
Company Name
Doing Business As
Applicant Name (first, middle, last, suffix)
AZ Driver License/ID Number (if applicable)
Residence Address
City
State
Zip
Applicant Signature
Notary or MVD Agent Signature
Acknowledged before me this date.
Date
County
State
Commission Expires
MVD Internal Use Only
Document Type
Issue Date
Expiration Date
Source Document Information
Business Unit
Fuel Tax Licensing
Third Party T&R
Professional Driver Services
Dealer Licensing
Traffic Survival School
Third Party Inspection
Reviewer Signature
Reviewer Userid
Date Reviewed